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654 MAPLE ST.PDF11,11111111 1 lill 12147 654 MAPLE ST NOTICE r,E AND/ OR OWNER El PARTIAL APPROVAL MEATION N 0 El CORRECTIONS REQUIRED PERMIT NUMBER IJOB ADDRESS 6 !� vim:�p I I NO PERMIT - STOP WORK - REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS. CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS El AND PERMIT - STOP WORK. MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. El STOP WORK - UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. CONTACT INSPECTOR AND ARRANGE FOR APPOINTMENT. El RECALL FOR INSPECTION. 6 AAt,� Sm� 0.) --T7Z�� THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAY BE APPLIED. FOR INSPECTIONS CALL: UILDING DIV. INSPECTOR 4��-L5 771,0;p PUBLIC WORKS CITY OF DATE D FIRE DEPT. EDMONDS 9 C -'OF EDMONDS ITY SIDE SEWER PE R M I T 890. 19.) PERMIT 8421 Address of Construction: Prop ert y Legal Description (include all easements): c--;- EDMONDS TIDEATMENT Rl ANT Owner and/or Contractor: cztnto I ie"Oncia Mn owyex, 6z19-_VR I o,7 IM4- ��ingle Family Multi -Family (No. of Units, Commercial 0 Public Building Permit No., Invasion into City Right -of -Way: �(No E�ZCEIVED RW Construction Permit No. N 0 V 19 1992 Cross other Private Property: P!F-No 0 Yes . . PUL rgftpe"pr. Attach legal description and copy a7utq I cerT7 tha C Ithave read and shall comply with all city requirements c as in/ on the back of the Permit Card. Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * OFFICE USE ONLY FOR INSPECTION CAL t PUBLIC WORKS DEPT. Zo. co Permit Fee: — �2smed By Trunk Charge:-2s. 00 Date Issued: C� 2- Assessment ee: Receipt No.: A�~ Lid No.: z -5 Partial Inspectibn: Date —Initial — Comments Reason Rejected: Date —Initial — I Final Inspection Approved: Date Initialz1a PERMIT MUST BE POSTED ON JOB SITE White Copy: File 'Green Copy: Inspeptor Buff Copy: Applicant Revised 3,190 The City of Edmonds Side Sewer Drawing EASEMENT NO. — ------ ---------------------------------- NEW CONSTRUCTION &"'� REPAIRS F1 LID NO - ------------------ - ASMT. NO. — ............... OWNER CONTRACTOR --------------------------------------- -------------------------------------------- PERMIT NO. --------------------------------------------------------- - --------------------- JOB ADDRESS --------- I i PWW-0001 -11/75 (REV.1 1178) LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ----------- -- --------------------- --------------------- ------- ............................................................................ --------------- ...... NAMEOF ADDITION ------------------------------------------------------------------------------ -- T-,R ........... --------------- cc, 01: q0 W 0 4, f- M 4-� L-,F— -S:T, Approved: DATE 210---.1 --------- By . .......... - - STREET FILE -HEIGkT Cxi-c:s FD = 10 7, TOTAL = H 3 4 - 10 6-(645 04 E-A" + 25.00 � 13 3. (a S' M A,)(. - 13 Z.-75— C SITE MAP-L E 5T. 90-03 NNW Z�, ULrzfvg, P TS t4 'i IL 5 r— A Fl-p- o S. 5- I--L-Oam = 114.5- 4rr7_ le- (A. r to l-++)e!!K-:7 D5- p EC iT APPROVED BY PLANNING 701-C) 10' 0 90.03 15' ALL. Y CLA,'SS(C-C HOME5 HEAGPI. C-X)-C:S SITE PLAJJ ic" =, 10,5*.'3 r5 110.8 ro 107.-Aj_ T-,DTA,L Li 3 4. Ll 0 ej. 5 + 215.00 133. (.T r-4 A.Y. �+C�T, 15 Z.-75- MARLE ST. ,��OL z er -11�x cc) —f 90-03 I rA-ljWr.7 .110 , t . 7,fzl,v5 r z t4 IL C IL Q 1� r- A lZIrws m-r FLm i a s 5- &7_ F-4&�)rj f--L-Oon- 1114.5- M I v C�l IF, �-7 T- %p APPROVED BY PLANNING �OLC> p 11010 It 7/f OLIV 90.03 T ALLE Y C L A,15 S o HomE-5 lNc-. STIReET I�ILE 5 1 T E P to j,� 0 e,.o6'S 14 + 33P49, (ak, MAPLE ST. 4b 9 0.0 3 k D rq its f Aw- L "' 110 '0 MC4 Pit v w 15 D, :r PRovostF-v - rzes)r7s-mc_e 0_ 0� N 0 ILI VCE- C-Nr 0 G b!f-- I" If AJ /J 90.03 )5 ALLE Y OVN C LA,'S'D(C-o HOME5 lruc— CITY OF EDMONDS SIDE 18 9 0 . 1 '34", Address of Construction: Property Legal Description (Include all easements): Owner ano/or Contracior ( < State License No. owwqx_ 6Z19_ff)q101? ?4� r Single Family El Multi -Family (No. of Units-) 13 Commercial El Public V.- SEWER PERMIT PERMIT N'0_ 8421 �i Building Permit No. �;� /-(�l Invasion into City gight-of-Way: 96 o C1 Yes RW Construction Permit No. Cross other Private Property: F'21--No Yes Attach legal description and copy of recorded easement I certi that have read and shall comply with all city requirements as iltatedron the back of the Permit Card. Date CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY FOR INSPECTION CAL PUBLIC WORKS DEPT. Permit Fee: 771, ed By Trunk Charge:- 2-57 00 Date Issued: ZI-2-0--9 2__ Assessment Fee: Receipt No.: - Lid No.: z Partial Inspection: Date -initial Comments Reason Rejected: Final Inspection Approved: Date -Initial Date -Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3/90 Revised.3/90 SIDE SEWER PERMIT REQUIREMENTS 1. Side sewer permits shall be posted at job -site and available to inspector at time of inspectfon. Inspection during normal working hours-o,nly. One (1) work'ing day notice required.. Side sewers must be left un'covered until in§'pected'. A water test is required. 2. Property owners can obtain a permit to install side sewers on private property. Licensed side sewer contractors must be employed to construct side sewers in the City right-of-way. Invasion into'City right-of-way requires a separate permit. 3. The side sewer contractor assumes full re-sponsibility for each installation for one (1) year. 4. Trenches within City right-of-way must be.restored to original c,o.nditions.. Street'restoration fees -shall be -paid in advance under a ri'ght-of-way permit. Contractors shall be responsible for 'right-bf_.Wa� failure due to poor compaction of fill';.. 5. No down spouts, footing drains or floor drains can,be connefted to a side sewer system. 6. Pea gravel is required for bedding when installing sewer lines through other than granular soil. 7. Cleanouts at property line and at house will have risers installed to within 12" of surface grade with -removable cap. 8. Commercial establishments require a minimum of six inch (6") side sewer line. 9. S1 ' de sew ' ers may not be installed closer than thirty inches, (30"Y-. to any structure. 10. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. 11. Side sewer lines must be laid at a minimum grade of 2% (1.15 0) and maximum grade of 100% (450). 12. No turn in side sewer gre 0 (1/8 bend) is allowed be Veen cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap for cleanouts. 13. -No,,61-eanout'shall be paved over. If located in.Ravement, cast irow 'ds will be installed., 14. All connections will be of gasketed type. No solvent joints unless prior approval is granted. t,, L Xity of Edmonds L RIGHT-OF-WAY CONSTRUCTION -7 PERMIT Permit Number: -�-/2 9 VERBAL: ROY 4-9-93 Issue Date: A. Address or Vicinity of Construction:' 654 MAPLE ST. B. Type of Work (be specific): GTE TO PUSH DIIV EWAYI& SIDEWALK TO 890-- 1 9() �.PLACE BURIED SERVICE WIRE TO NEW HOME. SEE ATTACHED SKETCH. C. Contractor: GTE NORTHWEST -INCORPORATED. Contact: BARBARA TOLLEFSON, PERMIT COORDINATOR Mailing . Address: 22118 20TH AVE. SE SUITE IDBone: 488-1624 State License #: BOTHELL, WA 98021 Liabilityinsurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. Commercial - El 'Subdivision El City Project 10 Utility (PUD, GTE, WNG, CABLE, WATER) Fj Multi -Family El Single Family El Oth . er*. W.O.# 2100-9POO140 242310' INSPECTOR: TOR:. F. Pavement or.Concrete Cut El Yes [INo G. Size of Cut: x H. Charge$ N1, APPLICANT TO READ AND S , GR City o INDEMNITY. Applicant understands and by his signature to, this application, agrees to hold A f Edmonds hagiless(Ax i'njqr!'eh1, d?dmages, or, claims of any kind or description whatsoever, foreseen or unforeen, that may be.made again;;�he City of Edmonis, oKany of its. departments or employ- ees, including or not limited to the defense of any legal proceedings including defense costs, a�d,�ttorney fees by reason of grqr!q!!g ;hi4,perm.i1_ THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND'MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL IIVS�ECT[ON AND -ACCEPTANCE OF THE WORK- ES77MATED-RESTORA77ON FEES WILL BE HELD UN77L THE FINAL STREETRATCH-IS COMPLETED BY- ' - - -_ --- ' _ " A " — CITY FORCES, AT' WHICH 77ME A DEBIT' OR CREDIT WILL BE PROCESSED FOR ISSUAkd TO THE APPLICANT Construction drawing of proposed work required with permit application A 24 hour notice is required for inspection; Please call the Engineering Departmentm Work is to be inspected during progress and at completion. "'771-0220 Ptestoration is to be in accordance with City Codes. Street shall be kept clean at. all times. Traffic Control and Public -Safety shall be in accordance with City regulations as required by t& City Engineer. All street cut ditches shall be.patched with asphalt*or City approved material prior to the end of the working day� NO EXCEPT -IONS. e I have read the above statements, and unde r rem; the pink c6fiy of the permit will. be available es on site at. all timesfok insp,�,Ciion purpos Signature: Date: 4-8�93 (Contractor, or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK , 4. 40 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE-, Eng!g. Div. 1991 FIELD INSPECTION NOTES (Fund I I I Route copy to Street Dept.) Comments: I Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES' 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. J City of Edmonds Permit Application Sketch GITEW.O.# —AccL Code �Z4'Z-�5,10 Township 'Z7N Range -S E- Section 5W Z-4- — i.. CAW-L !:�-)AMUEL,5DN Phone Number Field Tech. -'FE-L P,01 L-TE TO PUJ ti 6 W I ZE U N L-Fu;?, 5 G7'F-- -TO FL)5H- DF, - W/ v, PVC 15' WAA-9 MLI—ER I/ , to L../ .4 -1 VL&,tT,LP- ��R I P SOL xLk PMED Di�IVE L*Tz- To P Lao B - UJI izE -1 G 654 fAkOLL- tl- drMI11IM—MI, GTE J n City of Edmonds' RIGHT-OF-WAY CONSTRUftl PERMIT Permit Number: Issue Date: /1W - 11-5- " e7z.), A. Address onVicinity of Construction:. 654 Mabbe St. 9 9 c) (3 B. Type of Work (be specific): Triggtall New qprylaw C. Contractor: aq h Na t , I . ra g ro Mailing Address: 815 Mercer St. Sgattle. WA State License #: D. Building Permit,# (if applicable): Contact: Frank Swan Phone: 224-227A Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. Commercial Subdivision El City Project 6J,.Utility (PUD, GTE, WNG, CABLE, WATER) F-1 Multi -Family Single Family Other INSPECTOR: INSPECTOR: Vd, F. Pavement or Concrete Cut D Yes )[Mo ., G. Size of Cut: ,-, x H. Charge$ APPLICANT TO READ GN e7k INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds hatwiless from injuries, damages, or claims of any kind, or description whatsoever, foreseen or unforeen, that maybe made against the City of Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason df granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD.,OF ONE YEAR FOLLOWING 7HE FINAL INSPEC77ON AND ACCEPTANCE OF 7HE WORK ES71MA 7ED RESTORA 77ON FEES WILL BE HELD UN77Z THE FINAL STREET PAT6H_1S"COkALE7ED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO YHE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202. Work is to be ' inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City FFg!j!ations as required by the City Engineer. All st�pet cut ditches shall be patched with asphalt or City approved material prior to the 6nd ofithe.working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements an4,Me pink copy of the permit will be available on site at all timesfor inspeetion purposes. 12/5/92 Signature: Dite (Contractor or Agent) CALL DIAIA-DIG PRIOR TO BEGINNING WORK -0 NO WORK SHALL. BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved BY: Date: FINAL APPROVAL BY: Date: Eng. Div. July 11 &5-t . m4lklc- G-1 Addendum to city of Edmonds ight of Way permit Application submitted by: Engineering Aide Washington Natural qas 622-6767 x2761 pager -qW-j(o5(o MOL6 S-I'- U 5 A CA 4 WI Water main aepv-n unknown '?, 11 gas main -w- water -g- gas -ss- sewer -e- water hydrant 0 water valve s15 Ma= St. (P.O. Box 1969), Seattk, WA 98111 (206) 622-6767 � (P 51k rok" G-1 U 5 A I -G 4WI Water main aepuja unknown "2, 11 gas main Addendum to City of Edmonds Right of Way permit Application Submitted by: �Jiu-AP-C> Engineering Aide Washington Natural Gas 622-6767 x2761 pager -w- water -g- gas -ss- sewer -E)- water hydrant 0 water valve S15 merccr St. (P.O. Box 1969). Scattk. WA 98111 (206) 622-6767